HomeMy WebLinkAbout2785 CREST DR; ; 73-1976; PermitPLUMBING PERMIT APPLICATION
Permit N57li£27!i City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only
JOB ADDR ESS .^
LOT NO BLK TRACT
LEGAL (QSEE ATTACHED SHEET)
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OWNER MAIL ADDRESS ZIP PHONE
1 / <*!
CONTRACTOR ' "*• MAIL ADDRESS PHONE £ / 1 y LICENSE NO
ARCHITECT OH DESIGNER | / MAIL ADDRESS ' Pi ONE / LICENSE NO
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BU 1 LDI N G
7
8 Class of work D NEW D ADDITION ^ALTERATION D REPAIR
9 Describe work
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SPECIAL CONDITIONS
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APPLICATION ACCEPTED B,Y t PLANS^HECKED BY APPROVED FOR ISSUANCE BY
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"" '•' NOTICE l
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS OR IFCONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
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^•SIGNATURE OF CONTRACTOR OR .AU'THOR IZED AGENT / (DATE)
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SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
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PERMIT FEES
No
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Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT $
TOTAL FEE $
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR